Journal of Oral Health and Community Dentistry

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VOLUME 13 , ISSUE 1 ( January-April, 2019 ) > List of Articles

ORIGINAL ARTICLE

Gingivitis and Periodontitis among the Elderly in Port Harcourt Nigeria: A Population-based Study

Omoigberai B Braimoh, Grace O Alade

Keywords : Elderly, Gingivitis, Oral health education, Periodontitis

Citation Information : Braimoh OB, Alade GO. Gingivitis and Periodontitis among the Elderly in Port Harcourt Nigeria: A Population-based Study. J Oral Health Comm Dent 2019; 13 (1):5-9.

DOI: 10.5005/jp-journals-10062-0038

License: NA

Published Online: 01-12-2018

Copyright Statement:  NA


Abstract

Background: Data on the periodontal health status of elderly in Rivers State are uncommon, the objective of this study was to assess the prevalence and describe the determinants of periodontal disease among the elderly in Port Harcourt, Rivers State, Nigeria. Subjects and methods: The study was an observational research design in which data on periodontal health status was collected by a clinical oral examination. Subjects were selected by systematic random sampling and data collected using a self-developed questionnaire. Data analysis was done using statistical package for social sciences (SPSS version 20 IBM, Armonk, New York). Relationship between variables was established using Chi-square and significance determined at 0.05 alpha level. Results: The prevalence of gingivitis and periodontitis was 327 (60.2%) and 190 (35.0%), respectively. More than half 293 (53.9%) of the subjects had calculus on their teeth, and 137 (25.2%) had Shallow pocket. Gingivitis and periodontitis were significantly higher in males than females and the old elderly compared to the young elderly. Cigarette smokers had less gingivitis and more periodontitis than nonsmokers and those who engaged in once daily tooth cleaning had a higher prevalence of gingivitis and periodontitis compared to subjects who cleaned their teeth twice or more daily. Conclusion: The burden of periodontal disease was high among the elderly and the periodontal health status was poor with a high prevalence of gingivitis and periodontitis. Therefore, oral health education, enlightenment, and motivation towards the seeking of oral care are recommended in this group.


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  1. American Academy of Periodontology Research, Science, and Therapy Committee; American Academy of Pediatric Dentistry. Treatment of plaque-induced gingivitis, chronic periodontitis, and other clinical conditions. Pediatr Dent 2005.2006;27 (7 Suppl):202.11.
  2. Newman MG, Takei H, Klokkevold PR, et al. Carranza's Clinical Periodontology. 12th ed. St. Louis MO, United States of America. WB Saunders Company, 2014.
  3. Grappin G, Lancour M. Periodontal disease; a grave socio.economic problem in black Africa. Odontostomatol Trop 1978;11:7.28.
  4. Sofola OO, Shaba OP, Jeboda SO. Oral hygiene and periodontal treatment needs of urban school children compared with that of rural school children in Lagos State, Nigeria. Odontostomatol Trop 2003; 26:25-29.
  5. Taiwo JO, Jeboda SO, Motayo TO, et al. Periodontal health of the elderly people in South East local government area in Ibadan, Nigeria. Afr J Med Sci 2004;33: 285-291.
  6. Aderinokun GA, Dosumu OO. Causes of tooth mortality in a Nigerian Urban Centre. Odontostomatol Trop 1997;79:6.8.
  7. Danielson OE, Chinedu AC, Oluyemisi EA, et al. Frequency, causes and pattern of adult tooth extraction in a Nigerian rural health facility. Odontostomatol Trop 2011;34:5.10.
  8. Akpata ES. Oral health in Nigeria. Int Dent J 2004;54: 362-366.
  9. Umoh AO, Azodo CC. Prevalence of gingivitis and periodontitis in an adult male population in Nigeria. Niger J Basic and Clin Sci 2012;9: 65-69
  10. Braimoh OB, Sofola OO, Okeigbemen SA. Caries and periodontal health status of prison inmates in Benin City, Nigeria. Int J Biomed Health Sci 2011;7:137-145.
  11. Okeigbemen SA, Jeboda SO, Umweni AA. A preliminary assessment of the periodontal status of elderly pensioners in Benin City, Nigeria. Gerodontol 2012;29:e1244.1248.
  12. Soroye MO, Braimoh OB, OG Omitola. Prevalence and pattern of periodontal diseases at the periodontal clinic of the University of Port Harcourt Teaching Hospital, Nigeria. Port Harcourt Med J 2014;8: 193-198.
  13. Kolawole KA, Oziegbe EO, Bamise CT. Oral hygiene measures and the periodontal status of school children. Int J Dent Hyg 2011;9:143.148.
  14. Akhionbare O, Ojehanon PI, Ufomata DO, Jeboda SO. Periodontal treatment needs of urban and rural populations in Edo State, Nigeria. Niger Dent J 2007;15:13.17.
  15. Savage KO. Assessment of periodontal status of Nigerian factory workers in relation to cigarette smoking in Lagos. Nig Q J Hosp Med 1999;9:198.201.
  16. United Nation Population Division. World population prospect: The 2002 revision. New York, United Nations. (2003).
  17. Ettinger RL, Beck JD. Geriatric dental curriculum and the needs of the elderly. Spec Care Dentist 1984; 4:207.213.
  18. World Health Organisation. Active ageing: A policy framework. Geneva: World Health Organization, 2002.
  19. Ogunbodede EO. The role of public health practitioners in geriatric oral health care. Paper presented at the Annual Scientific Conference of The Nigerian Association of Dental Public Health University of Benin, Benin City April 2013.
  20. Ogunbodede, E.O. Population ageing and the implications for oral health in Africa. Gerodontol 2013;30:1-2.
  21. World Health Organization. Oral health surveys: Basic methods. 3rd ed. Geneva: World Health Organisation; 1987. p. 31.32.
  22. Taiwo JO, Jeboda SO, Motayo TO, Obiechina AE. Periodontal health of the elderly people in SELGA in Ibadan, Nigeria. Afr J Med Sci 2004;33:285.291.
  23. Miyazaki H, Shirahama R, Ohtani I, Takehara T, Shimada N, Pilot T. CPITN assessments in institutionalized elderly people in Kitakyushu, Japan. Community Dent Health 1991;8:239.243.
  24. Galan D, Brecx M, Heath MR. Oral health status of a population of community-dwelling older Canadians. Gerodontol 1995;12:41.48.
  25. Nobile CGA, Furtunato L, Pavia M, Angelillo LF. Oral health status of male prisoners in Italy. Int Dent J 2007;57:27-35.
  26. Sogi G, Bhaskar DJ. Dental caries and oral hygiene status of 13-14year old school children of Davangere. J. Indian Soc. Pedodont. Prev. Dent. 2001;19:113-117.
  27. Al-Ansari JM, Honkala S. Gender differences in oral health knowledge and behavoir of the health sciences college students in Kuwait. J. Allied Health 2007;36:41-46.
  28. Malhotra R, Kapoor A, Grover V, Kaushal S. Nicotine and periodontal tissues. J Indian Soc Periodontol 2010;14:72.79.
  29. Ide R, Hoshuyama T, Wilson D, Takahashi K, Higashi T. The effects of smoking on dental care utilization and its costs in Japan. J Dent Res 2009;88:66.70.
  30. Natto SB. Tobacco smoking and periodontal health in a Saudi Arabian population. Swed Dent J Suppl 2005;(176):8.52.
  31. Calonius PEB. A cytological study on the variation of keratinisation in normal oral mucosa of young males. J Western Soc Periodontol 1962;10:69-74.
  32. Boillot A, El Halabi B, Batty GD, Range H, Czernichow S, Bouchard P. Education as a predictor of chronic periodontitis: A systematic review with meta. analysis population. based studies. PLoS One 2011;6:e21508.e21515.
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